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  • Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19

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Case report
Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19
  1. Alexander B Crane1,
  2. Monica C Abreu Diaz2,
  3. Yi Jiang2 and
  4. Kathleen Mangunay Pergament2
  1. 1Department of Ophthalmology, Rutgers New Jersey Medical School, Newark, New Jersey, USA
  2. 2Internal Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA
  1. Correspondence to Alexander B Crane; abc126{at}njms.rutgers.edu

Abstract

A 35-year-old Hispanic man presented with fever, chills, dysuria, diarrhoea, scleral icterus, tachycardia and tachypnea. He was found to be COVID-19 positive, CT of the pelvis revealed prostatic abscess, and urine culture grew Klebsiella pneumoniae. Additionally, he was found to have diabetes and cirrhosis. During treatment, the patient developed vision loss, and was diagnosed with endogenous Klebsiella endophthalmitis. The patient was treated with intravenous antibiotics, pars plana vitrectomy, intravitreal antibiotics and cystoscopy/suprapubic catheter placement. On follow-up, the patient has had the suprapubic catheter removed, and successfully passed a voiding trial, but suffers permanent vision loss in both eyes.

  • diabetes
  • cirrhosis
  • pneumonia (infectious disease)
  • ophthalmology
  • prostate

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2020-240425

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    Footnotes

    • Contributors All authors approved the final manuscript. KMP, YJ and MCAD were involved in patient care. MCAD interviewed the patient for the patient’s perspective. ABC was responsible for data collection, and all authors were involved in data interpretation. ABC contributed to drafting the manuscript, all authors contributed to editing the manuscript, and KMP was responsible for supervision.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.